Learning Objectives

After reading this chapter, you should be able to understand:

  • the history of public healthcare in the United States
  • welfare reform and variation in state policy responsibility
  • how TANF, Medicaid, and Medicare differ
  • what the Affordable Care Act is and how it affects state health policy
  • the phrase “devolution revolution” and what it means for state policymaking
  • the role of SCHIP in expanding healthcare benefits
  • how the “baby boom” retirement and prescription drug costs affect state health policy